Organization Active NPI

Twin Creek Dental, LLC

  • General Practice Dentistry
  • Bellevue, NE
National Provider Identifier
1023905270
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TWIN CREEK DENTAL, LLC
Practice address
3811 Twin Creek Dr Ste 103
Bellevue, NE 68123-4002
Phone
(402) 715-5775
NPI assigned
Jun 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brent Rising
Title
Owner
Phone
(701) 799-6453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3811 Twin Creek Dr Ste 103
Bellevue, NE 68123-4002

Mailing address

27330 W Center Rd
Waterloo, NE 68069-6814
Phone (701) 799-6453

National Provider Directory

National Provider Directory

Locations

3811 Twin Creek Dr
Ste 103
Bellevue, NE 68123
Phone (402) 715-5775

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1023905270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27330 W CENTER RD",
            "city": "WATERLOO",
            "state": "NE",
            "postal_code": "680696814",
            "telephone_number": "701-799-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 TWIN CREEK DR STE 103",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681234002",
            "telephone_number": "402-715-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CREEK DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "RISING",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-799-6453"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.